36927D - Neblet

CAMA/ 'DREDGE & FILL - 3
IENERAL PERMIT Previous permit#
lew _Modification _Complete Reissue -.Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources ,2CiC d
pasta!Resources Commission in an area of environmental concern pursuant to I SA NCAC
5 Cvr{ r lctaZ-- County iI �ev�.
Name ���f i✓ •J�✓�'� � Project L ation:
- �t.V. Street Address/State Road/Lot#(s)
//1t' t. • State NC ZIP `5.9 L 0 T 5 5 4-4 1 fl va-S bti.""e
( ) �>3�'1737F ax#( ) Subdivision
;d Agent $f 4 .. City V i R t ZIP 2N
❑CW EW iTA ❑ES ❑PTS Phone# ( -- — River Basin
❑OEA ❑HH /j ) "—
❑IH E UBA ❑N/A , ,�
❑ PWS: ElFC: Adj.Wtr. Body S C EY nat
n/ no PNA .' no Crit.Hab. yes / no Closest Maj.Wtr. Body ? C.--r—Eh
Project/Activity ffit516,414.7st Of--- f r•E4rl ( i4 i't ( „(J l cL c�
o
(Scale: (Li./
k)length / Ai
( T
0 )1 za a •
_`_ �.� 00 ( ' ? 3,
r(s) 17 ‘� T ��
iber (AA('
Riprap length r
distance offshore Ptir'PO$el) /
distance offshore --'"----~- I X , O�
inneld Zc
J. r l'
c yards
Boatli 11 it(3-1- _ 1
!dozing
Length
not sure yes ._
1 •not sure yes ��
im: n/a yes 440
tached: yes
permit may be required b:'• (�, *MA t�r✓{ ❑See note on back regarding River Basin rul
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GENERAL PERMIT COMPUTER FORM
PLICANT NAME: tYl o V l t- J f
DITIONAL NAMES: /1-e V Cox w'
C DESIG: DEVELOP AREA:0 O. 0 2 `PROJ DES( - 72-
I only take 6) ---- (Will only take 1)
)RK: 'P K - ( (b g s- " y 36 leo
I only take 4) g
- 2Of 2 0 g' /3( ja y
LINT:
I only take 4)
abk) `-it
only take 6)
ACTION EXPIRATION
EDGE&FILL REQUIRED: Zr 7 d y / ?"��
MA MAJOR DEVEL REQUIRED:

ATLANTIC FENCE IN(
Specializing in Custom Wood and Vinyl Fencing
"Quality Fencing Guaranteed"
tit II .
MI II Ell III II
Call for FREE estimates! !
Greg Hall Stephen Conway
[phone] [phone]

JUL. 1.21303 2:50PM NCDENR W1RO NU.bbb r.c
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual Applying For Permit: Y\OV-.7 - LE
Address of Property: 0
-�--� 3 4- t4 Q 3
(Lot or Street#, Street or Road)
rNA, 1� 61 � C � 8'Vo �
• (City and County
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thc
are proposing. A description or drawing,with dimensions, should be provided with this letter.
v
I have no objections to this proposal.
•34/v
If you have objections to what is being proposed, please write the„Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39(
within 10 days of receipt of this notice:'No response is considered the same as no objection
you have been notified by Certified Mail,
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be s
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If ya
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. •
I do not wish to waive the 15' setback requirement.
7//1 oz47/
Sign Name DateA.•

• MA/ E DREDGE & FILL _ _ 3
3 N ERAL PERMIT Previous permit#
Jew EModification EComplete Reissue EPartial Reissue Date previous permit issued' '-"
rued by the State of North Carolina,Department of Environment and Natural Resources ����,'
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC. :` •. c �a "
it Name r to r_- 5 r/6r 'e
r �Rroject L anon. County14I'VeeA
---�--�-y�'�' •• Street Address/State Road/Lot#(s)" -
J t1M- • State NC.ZIP 2 Lois ' 5" Q / l �t'a& 6-t—,4,
( . ) ,55r�:`1.7 / ax#( ) s Subdivision• . :r Y
:ed Agent S1-"�Ke/ - City V r �VV�1 ZIP 2t�w�:.c
O CW EW A ❑ES ❑ Ph
PTs one# - -( ' - - """' River Basin �f
❑OEA HHF� ❑IH ❑UBA ❑N/A Body. � t
Ad'I.Wtr.' , k �t5 !— = A,hi-
❑PWS: ❑FC: !
�/ no PNA no Crit.Hab. yes / no Closest Maj.Wtr Body }
Project/Activity •
Of— ,Le4.-1 p (,01-4,--0.- �if`� 1 CYrj:GEC� >.,
:k)length tY I l.C�� / G. • (scat I: /Is L
ngth 1i' I"Z "�� 11 1 `
nber
l/Riprap length I { ! l j , 1 '=` r
distance offshore ( I t �_ P � - -
K distance offshore {
annel i 1. _ { 7-Ql)Ai -
,ic yards ;
XICK �,.
p 13/ f.�J• r
Boatli
I f 1
S ,
� ; ,".I~
Ildozing ; , H ,r ,
1= o/t� - • L•_1rE 36/
�1
Length 1 t5 jj
4 '
, I I
not sure yes • f • I ,;.r
not sure yam. I ` _ l . , I .I
I a f }.
im: n/a . yes't I II �f`
i ! � , � i
no i .i ( I /;'`� ; .vim : I ft9•�
cached:. yes/0 ' I ' 4A _ 1 _ , i[ I
� 1 i
permit may be required b;"� '(v 1�vV J U• , See note on back regarding River Basin rule

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�.CVi_c�S�.a",�r. '��d' ,
MORT S NEBLETT REGIONS: 8938000154 1255
7617 MASONBORO SOUND ROAD
a WILMINGTON NC 28409-2668
-��-� { 53-292/113
Date
fFN
Pa to the OJ
order of ��\1 . ' O O
N I UU�R �� 2� F... !,
l�Gr Dollars L`I .„.
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Boston Safe Deposit and Trust Co.,Boston,MA
T Mworg�an K�eeg�an *-7%9 a�
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acc3o-unt
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